Individual provider · Type 1 NPI

Stephanie Vandervoort

Physical Therapy Assistant · San Diego, CA

NPI number 1053017012 Active

Practice location

3837 Wabash Ave
San Diego, CA 92104-3134

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X52363 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1053017012

Stephanie Vandervoort's National Provider Identifier is 1053017012, issued on Feb 1, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in San Diego, CA. The record was last updated on Feb 1, 2023.